# BRETT REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942346911
- **Gender:** Man
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3269 | FL | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 09/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20933 | BCBS | FL |
| 01 | — | 410043221 | RR MEDICARE | — |
| 01 | — | 410045559 | RR MEDICARE | — |